Myositis associated with graft-versus-hostdisease (GVHD) typically presents with proximal muscle weakness, myalgias, and a raised creatinine phosphokinase (CPK) level. We report a case of a 51 year old man who developed respiratory muscle weakness five years after an allogeneic bone marrow transplant for multiple myeloma. His symptoms included tachypnoea, abdominal paradox, and orthopnoea. Pulm...

Myositis associated with graft-versus-host-disease (GVHD) typically presents with proximal muscle weakness, myalgias, and a raised creatinine phosphokinase (CPK) level. We report a case of a 51 year old man who developed respiratory muscle weakness five years after an allogeneic bone marrow transplant for multiple myeloma. His symptoms included tachypnoea, abdominal paradox, and orthopnoea. Pul...

respiratory muscles. Thus, the associated perceived effort required to generate a given ventilation during exercise is similarly reduced. The deeper, slower breathing pattern after radiation therapy and delay in the onset of tachypnoea reflect the recruitment of IC both at rest and during exercise as a result of lung volume deflation. Thus, the patient could increase tidal volume and ventilatio...

A Caucasian young female born at term weighing 3.4 kg, presented to her general practitioner at 4 weeks of age and repeatedly after that with cough, fever and ‘‘noisy breathing’’. She was treated with multiple courses of oral antibiotics. The symptoms persisted, and at 6 months of age a chest radiograph (CXR) showed dense consolidation affecting the right upper lobe. She was admitted to her loc...

Pancreatitis in children is now diagnosed more frequently with an incidence of acute pancreatitis turning to chronic being 20–25%. Pancreatic pseudoaneurysm a rare and life-threatening complication pancreatitis. An adolescent known case for 3 years, presented history recurrent black-coloured stools 1 month haematemesis, fever cough 2 days. The child was pale febrile tachypnoea tachycardia sever...

A 3-week-old female white Bengal Tiger cub (Panthera tigris tigris) presented with acute onset tachypnoea, cyanosis and hypothermia. The cub was severely hypoxaemic with a mixed acid-base disturbance. Echocardiography revealed severe pulmonic stenosis, right ventricular hypertrophy, high membranous ventricular septal defect and an overriding aorta. Additionally, an atrial septal defect was foun...

Health effects of acute exposure • The main routes of exposure to hydrogen chloride are via inhalation, or skin or eye contact and exposure to hydrochloric acid is predominantly by ingestion, or skin or eye contact • Inhalation may cause irritation to nose and upper respiratory tract, ulceration, coughing, chest tightness and shortness of breath. Higher concentrations cause tachypnoea, pulmonar...

Sleep and respiration during sleep were studied in patients with idiopathic Parkinson's disease, patients with Parkinsonism with autonomic disturbance, and normal age and sex matched controls. Patients with idiopathic Parkinson's disease showed significantly reduced REM sleep, and more frequent and prolonged waking throughout the night. Hypoventilation and sleep apnoea did not occur in the idio...

BACKGROUND Influenza A(H1N1) infection affected Indian population in 2009. Patients needed ICU admission and monitoring. OBJECTIVES To describe and correlate clinical and radiographic features of Influenza A(H1N1) infection in patients hospitalised in Intensive care unit. MATERIAL AND METHODS Retrospective study of records of 100 RT-PCR confirmed patients with Influenza A(H1N1) infection fr...